Evidence map›Paper›PMID 34373302›Full record

ArticleBMJ open2021

Physicians' perceptions of followership in resuscitation in Japan and the USA: a qualitative study.

Yoko Akamine, Rintaro Imafuku, Takuya Saiki, Jannet Lee-Jayaram, Benjamin W Berg, Yasuyuki Suzuki

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Yoko AkamineDivision of Medical Education, Graduate School of Medicine, Gifu University, Gifu, Japan yokoakamine@gmail.com.ORCID 0000-0003-3467-5789
Rintaro ImafukuDivision of Medical Education, Graduate School of Medicine, Gifu University, Gifu, Japan.
Takuya SaikiDivision of Medical Education, Graduate School of Medicine, Gifu University, Gifu, Japan.
Jannet Lee-JayaramSimTiki Simulation Center, John A. Burns School of Medicine, University of Hawai'i at Manoa, Honolulu, Hawaii, USA.
Benjamin W BergSimTiki Simulation Center, John A. Burns School of Medicine, University of Hawai'i at Manoa, Honolulu, Hawaii, USA.
Yasuyuki SuzukiDivision of Medical Education, Graduate School of Medicine, Gifu University, Gifu, Japan.
Gifu University · JPUniversity of Hawaiʻi at Mānoa · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWhile leadership is accepted as a crucial aspect of a successful resuscitation team, the role of followership has not been sufficiently explored. This study aims to explore physicians' perceptions of common favourable followership in resuscitation teams in two different countries.

designA qualitative study with interviews and a reflexive thematic analysis.

settingThe authors individually interviewed critical care and emergency physicians whose clinical experience exceeded 6 years in Japan and the USA.

participantsA total of 18 physicians participated in a face-to-face, semistructured and in-depth interviews.

resultsFive themes and nine subthemes related to followership in resuscitation were identified. Under technical skills, two themes (being knowledgeable and skilled) and three subthemes (understanding guidelines/algorithms, clinical course and being competent with procedural skills), were generated. Under non-technical skills, three themes (assuming roles, team communication and flattening hierarchy) and six subthemes (taking roles spontaneously, calm tone of voice, sharing information, closed-loop communication, respectful attitude and speaking up), were generated. Each generated theme involved commonly perceived favourable attributes of followership in resuscitation teams by experienced critical care and emergency physicians in both countries.

conclusionsThis study clarified physicians' perception of common favourable followership attributes in resuscitation teams, both in Japan and in the USA. The results of this study shed light on followership-focused resuscitation education, where followership skills are generally underestimated.

Indexed as

PhysiciansAttitude of Health PersonnelHumansJapanLeadershipPerceptionQualitative Researchintensive & critical caremedical education & trainingqualitative research

Identifiers

PMID34373302
PMCPMC8354256
OpenAlexW3188804473

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.